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MR. ROGER DALE HIGHLEY

>> Home Health Aide >> Nursing Service Related Providers

Registrant NPI Number: 1225638976

Individual Registrant:
MR. ROGER DALE HIGHLEY 
Gender: M
Sole Proprietor

Location and contact information for practice:
404 S ADA DOTY ST  GRATIS, OH 45330 US
Tel: 937-287-4240  Fax: --

Contact information for business:
PO BOX 60  GRATIS, OH 45330-0060 US
Tel: 937-287-4240  Fax: --

Registration Information:
NPI: 1225638976
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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